Male Death Registration: Year: 1971 number: 7113
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007113
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED d'Entremont, Leo Martin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Lower West Pubnico
9. DATE OF BIRTH 10 17, 1893
10. AGE in Years78 Months1 Days20 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Leger d'Entremont
17. BIRTHPLACE Lower West Pubnico, NS
18. NAME of Mother Adesse d'Eon
19. BIRTHPLACE Middle West Pubnico, NS
20. Signature of Informant Anselm J. d'Entremont
address Lower West Pubnico, NS
Relationship to deceased Son
21. Place of burial Middle West Pubnico, NS
Date of burial December 9, 1971
22. Undertaker West Pubnico Funeral Ser.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 7, 1971
CAUSE OF DEATH
(a) Hypostatic pneumonia due to Hodgkins Lymphoma
(b) Metastatic lymphomatous tumor
(c) Cachexia
other Senility
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499185
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